County of San Bernardino | California – Southern: Retirees under 65

Traditional HMO Plan

With your Kaiser Permanente health plan, you get a wide range of care and support to help you stay healthy and get the most out of life. There are no deductibles to keep track of and virtually no paperwork to worry about for the services you receive. And when you come in for care, you’ll pay just a copay for most services covered by your plan.

Simple copays for most covered services, including prescriptions

No paperwork to fill out or bills for the services you receive

No deductibles to keep track of

No referrals required for certain specialties, such as obstetrics-gynecology

Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.

Deductible HMO Plan

With your Kaiser Permanente health plan, you receive a wide range of care and support to help you stay healthy and get the most out of life. Even before you reach your deductible, most doctor’s office visits, radiology services, and lab tests are covered at a copay or coinsurance, and most preventive care services—like routine physical exams, mammograms, and cholesterol screenings—are covered at little or no cost to you. All in all, it’s a financial and physical win-win.

Simple copays or coinsurance for most doctor’s office visits, radiology services, lab tests, and prescription drugs, all year round

Most preventive care services covered at little or no cost to you

After you reach your hospital deductible, most covered hospital services available at a copay or coinsurance

No referrals required for certain specialties, like optometry and obstetrics-gynecology

Personalized online cost estimates that give you an idea of what you’ll pay for scheduled services

An out-of-pocket maximum that puts a cap on how much you’ll spend on most covered services each calendar year

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Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.

HSA-Qualified High Deductible HMO Plan

With your HSA-Qualified HDHP, you receive a wide range of care and support to help you stay healthy and get the most out of life. You also have the option of setting up a tax-free health savings account (HSA), which you can use to pay for qualified medical expenses. All in all, it’s a financial and physical win-win.

Most preventive care services covered at little or no cost to you

No referrals required for many specialties

Personalized online cost estimates that give you an idea of what you’ll pay for scheduled services

The option to set up a tax-free HSA, which you can use anytime to pay for qualified medical expenses

An out-of-pocket maximum that puts a cap on how much you’ll spend on covered services each calendar year

To be eligible for an HSA, you must be enrolled in an HSA-qualified deductible health plan and meet other HSA eligibility rules. For more information, see IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, at irs.gov/publications. The tax references relate to federal income tax only. Consult with your financial or tax adviser for information about state income tax laws.

To view the list of qualified medical expenses defined under Internal Revenue Code Section 213(d), see IRS Publication 502, Medical and Dental Expenses, at irs.gov/publications.

Your Evidence of Coverage or Summary Plan Description contains a complete explanation of benefits, exclusions, and limitations. The information provided here is not intended nor designed to serve as your Evidence of Coverage.

Showing Plans for Retirees under 65